DERRICIA WALTERS

FORT WAYNE, IN
NPI1427740885
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  39005938A)
Enumeration Date2023-05-24
Last Update Date2026-03-25
Business Address
DERRICIA WALTERS
1010 E DUPONT RD
FORT WAYNE, IN 46825-1554
Phone number: 260-471-8141
Mailing Address
DERRICIA WALTERS
5402 S CALHOUN ST
FORT WAYNE, IN 46807-3317
Phone number: 260-206-4424